Placard and orFound 10 free book(s)
555 Wright Way Carson City, Nevada 89711-0900 Telephone (775) 684-4368 www.dmvnv.com Temporary Dealer Placard Entry 1/2015 Page 1 of 1 Web site location for Electronic Temporary Dealer Placard Entry (Secure E Tag Application):
Note: If the organization ceases to provide specialized services to disabled persons, the parking placard must be returned to the Secretary of State for cancellation.
INSTRUCTIONS 1. Permanent Placard - Complete Sections A, B or C (NOT BOTH) and E. (NOTE: If a minor child is the applicant, the parent/guardian’s Driver’s License or
APPLICATION FOR DISABLED PERSON LICENSE PLATE, PLACARD AND/OR DECAL CERTIFICATION OF DISABILITY E. Certification of Disability: The section below must be completed by a medical doctor licenseda to practice medicine, Christian Science Practitioner listed in the Christian Science Journal, nurse practitioner (APRN), or physician's assistant (PA).
HANDICAPPED PARKING PLACARD APPLICATION The Department of Public Safety requires approximately 10 business days after receipt to process the application.
Application for Replacement Disability Parking SPlacard Secretary of State Vehicle Services Department Special Plates Division 501 S. Second St., Rm. 541
Is this a first time application? n yes n no If no, what was the last disabled placard/plate number issued to you? _____ JESSE WHITE Secretary of State • State of Illinois
INSTRUCTIONS Disabled individual shall be a Kansas resident. Application shall be signed by the disabled individual, representative or owner of the vehicle which
must be completed for processing application for vehicle license plates and/or placards for persons with a disability
bmv 4826 7/18 [760-0616] page 1 of 2 restricted bmv or deputy use only ohio department of public safety bureau of motor vehicles note: from application for disability …